Provider Demographics
NPI:1699062125
Name:WEIGEL, PERRY LEE (MD)
Entity type:Individual
Prefix:
First Name:PERRY
Middle Name:LEE
Last Name:WEIGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:901 SE ORALABOR RD
Mailing Address - Street 2:APT #3
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-3952
Mailing Address - Country:US
Mailing Address - Phone:515-963-0525
Mailing Address - Fax:515-963-0525
Practice Address - Street 1:901 SE ORALABOR RD
Practice Address - Street 2:APT #3
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-3952
Practice Address - Country:US
Practice Address - Phone:515-963-0525
Practice Address - Fax:515-963-0525
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA16840207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine